Healthcare Provider Details

I. General information

NPI: 1740434851
Provider Name (Legal Business Name): PREMIER MEDICAL CLINICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2008
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1165 S LINDEN RD
FLINT MI
48532-3406
US

IV. Provider business mailing address

1165 S LINDEN RD
FLINT MI
48532-3406
US

V. Phone/Fax

Practice location:
  • Phone: 810-732-5400
  • Fax: 810-733-1624
Mailing address:
  • Phone: 810-732-5400
  • Fax: 810-733-1624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MUSTAFA HASSAN MAHMOUD HASSAN
Title or Position: DIRECTOR
Credential: M.D.
Phone: 810-732-5400